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["  ",null,null,null,null,"SAMPLE SUBMITTAL FORM_ICP"]
[]
["General information"]
["Submitted by (full name):"]
["Company address:"]
["Phone:",null,null,null,null,null,null,null,null,"Fax:"]
["Email contact:",null,null,null,null,null,null,null,null,"Date:"]
["VAT/TAX ID No.",null,null,null,null,null,null,null,null,"P.O.:"]
["Material/Matrix:"]
["State of sample"]
["Number of samples:"]
["Sample labelling:"]
[]
["Information about required elements tested by ICP-OES"]
["Please select required elements for analysis by clicking next to the choosen element."]
[]
[null,false,"  Li",false,"  Al",false,"  Ca",false,"  Fe",false,"  Zn",false,"  Cd"]
[null,false,"  B",false,"  Si",false,"  Ti",false,"  Co",false,"  As",false,"  Ba"]
[null,false,"  Na",false,"  P",false,"  Cr",false,"  Ni",false,"  Se",false,"  Pb"]
[null,false,"  Mg",false,"  K",false,"  Mn",false,"  Cu",false,"  Mo",false]
[]
[null,null,"No. of selected elements:",null,null,null,{"$f":"COUNTIF(B17:L20,\"TRUE\")","v":0}]
[]
["                                    Rush service                ",null,null,null,null,null,null,4,"  48 h ",null,"  72 h    (additional fees apply) "]
[null,null,null,null,null,null,null,null,"  none",null,"               (no additional fees apply)"]
[]
["Information about samples and payment"]
["For the testing roughly 50 g of sample in the solid form and 100 ml of the sample in liquid form is required.  Because of advance payment, the testing of submitted sample(s) will start immediately after confirming of the remittance. We usually do not return the samples to the customer after analysis. The samples are stored in our laboratory archive. In case of need you can ask also for rush service. "]
[]
[]
[]
[]
[]
["Please provide here some additional information about your sample:"]